Organization
COUNTY OF JACKSON
Active
Parent organization
COUNTY OF JACKSON
Other names
Jackson County Hlth Dept Clinical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF JACKSON
Authorized official
MS. PAULA G CARDEN MSPA (DIRECTOR)
(828) 586-8994
Entity
Organization
Contact information
Practice address
538 SCOTTS CREEK ROAD, SUITE 100, SYLVA, NC 28779-5281
(828) 586-8994
(828) 631-3617
Mailing address
538 SCOTTS CREEK ROAD, SUITE 100, SYLVA, NC 28779-5281
(828) 586-8994
(828) 631-3617
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07113
BLUE CROSS INSURANCE
NC
05
—
3404350
—
NC
01
—
34D0685734
CLIA
NC
Enumeration date
01/30/2007
Last updated
11/10/2011
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